Desperate Denise
Guest
- Messages
- 146
- Best answers
- 0
Sorry guys!
Need help with this one. Wondering if anyone has seen this procedure before. Can only think of using 29806-22 to indicate additional work using the awl to address the microfracture and then removal of loose bodies. Any input would be appreciated.
Thanks
PREOPERATIVE DIAGNOSIS: Right shoulder posterior labral tear.
POSTOPERATIVE DIAGNOSIS: Right shoulder posterior labral tear.
PROCEDURE: Right shoulder arthroscopy, right posterior labral repair
with microfracture technique and removal of loose bodies.
DESCRIPTION OF PROCEDURE: The patient was brought to the operating
room and placed supine on the operating room table. After induction
of an interscalene block, he was placed in the beach chair position.
All bony prominences were padded. His right shoulder was prepped and
draped in the standard surgical fashion. Posterior portal was
created. Examination of the joint showed a 1 cm x 1 cm glenoid grade
IV defect in the surface of the glenoid. There were 2 fissures within
the humeral head. The subscapularis tendon was intact. Biceps tendon
was of a normal caliber. The insertion site showed normal attachment
anteriorly. Posteriorly though, there was a posterior labral tear.
There was a normal sublabral foramen anteriorly. Anterior inferior
labrum was intact. The supraspinatus was intact. There was no
Hill-Sachs defect seen posteriorly. There were loose bodies of
glenoid articular surface in the axillary pouch. The labrum was
frayed posteriorly. The labrum was debrided posteriorly and a
superior labral repair was carried out with 3.0 Bio-SutureTak. The
3.5 mm full radius shaver was used to remove the loose bodies within
the articular cartilage. Attention was directed towards the glenoid,
where the microfracture awls were used to perform the microfracture
technique on the grade IV surface. The shoulder was irrigated. The
portals were closed with 4-0 nylon. A dry sterile dressing was
applied. The patient tolerated the procedure well and returned to
recovery in stable condition.
As always - really appreciative!!!!
Denise
Need help with this one. Wondering if anyone has seen this procedure before. Can only think of using 29806-22 to indicate additional work using the awl to address the microfracture and then removal of loose bodies. Any input would be appreciated.
Thanks
PREOPERATIVE DIAGNOSIS: Right shoulder posterior labral tear.
POSTOPERATIVE DIAGNOSIS: Right shoulder posterior labral tear.
PROCEDURE: Right shoulder arthroscopy, right posterior labral repair
with microfracture technique and removal of loose bodies.
DESCRIPTION OF PROCEDURE: The patient was brought to the operating
room and placed supine on the operating room table. After induction
of an interscalene block, he was placed in the beach chair position.
All bony prominences were padded. His right shoulder was prepped and
draped in the standard surgical fashion. Posterior portal was
created. Examination of the joint showed a 1 cm x 1 cm glenoid grade
IV defect in the surface of the glenoid. There were 2 fissures within
the humeral head. The subscapularis tendon was intact. Biceps tendon
was of a normal caliber. The insertion site showed normal attachment
anteriorly. Posteriorly though, there was a posterior labral tear.
There was a normal sublabral foramen anteriorly. Anterior inferior
labrum was intact. The supraspinatus was intact. There was no
Hill-Sachs defect seen posteriorly. There were loose bodies of
glenoid articular surface in the axillary pouch. The labrum was
frayed posteriorly. The labrum was debrided posteriorly and a
superior labral repair was carried out with 3.0 Bio-SutureTak. The
3.5 mm full radius shaver was used to remove the loose bodies within
the articular cartilage. Attention was directed towards the glenoid,
where the microfracture awls were used to perform the microfracture
technique on the grade IV surface. The shoulder was irrigated. The
portals were closed with 4-0 nylon. A dry sterile dressing was
applied. The patient tolerated the procedure well and returned to
recovery in stable condition.
As always - really appreciative!!!!
Denise